Summary of Benefits
Summary of Benefits
United HealthCare
2025 UHC Summary of Benefits
- UHC Harmony $10 HMO
- UHC UHC CS VEBA Alliance $10 HMO
- UHC Harmony w/ HRA
- UHC CS VEBA Alliance HMO w/ HRA
- Other information is pending
2024 UHC Summary of Benefits
Kaiser Permanente
2025 Summary of Benefits
2024 Summary of Benefits
Cigna
2025 Cigna Summary of Benefits
2024 Cigna Summary of Benefits
CUSD OFFERS 9 MEDICAL PLANS:
- 2024 Group Plan Numbers
- 2024 Medical Side-by-Side Comparison Sheet
- 2025 Medical Side-by-Side Comparison Sheet
- 5 - United HealthCare (UHC) HMO Plans
- 1 - UMR/ United HealthCare (UHC) PPO Plan
- 2 - Kaiser HMO Plans
- 1 - Cigna HMO Plan
- Guest MyVEBA Account
- ID: CAPUSD
Need virtual access to your carrier ID cards? Click HERE!
- UHC Customer Service: (888) 586-6365
- UHC Website
- How to Find a UHC HMO PCP
- UHC Mobile App
- UMR Customer Service: (800) 826-9781
- UMR Website
- How to Find a UMR PPO PCP (Choose Select Plus on the Search Page)
UHC/ UMR Plan Names:
- UHC Harmony $10 HMO
- UHCCS VEBA Alliance HMO $10
- UHC Harmony HMO Journey w/ HRA
- UHC CS VEBA Alliance HMO Journey w/ HRA
- UMR Select Plus PPO
Express Scripts (All UHC Plans):
- Customer Service: (800) 918-8011
- Website
- Express Scripts Flyer
Journey Harmony and Journey Alliance Health Reimbursement Account (HRA)
- BrainShark Videos
Chiropractic Services - Optum Health
- Customer Service: (800) 428-6337
- Optum Website
- Optum Chiropractic and Acupuncture
Mental Health Service for UHC Plans
- Get pre-authorization from Optum Behavioral Health
- Call Optum Customer Service for pre-authorization and for emergencies, 24/7, at (888) 625-4809
- Costs:
- Outpatient services are the same as medical outpatient office co-pays/costs
- Find an in-network Provider
- Calm App Access
Substance Abuse Services
- No need for pre-authorization for inpatient or outpatient services
- Coverage through Optum
- Contact UMR for cost information: (800) 826-9781
- In-network vs. out-of-network costs are different
- Find an in-network UMR provider
- UMR Mobile App
Carrum Health (Surgery Benefit)
- Customer Service: (888) 855-7806
- 2019 Carrum Health Letter
- ***Important Note: The member will be required to call Carrum Health prior to scheduling their surgery.
- If the member contacts Carrum and uses a Carrum recommended facility for their surgery they will have the procedure coinsurance or deductible waived.
- If the member contacts Carrum but chooses not to use a Carrum recommended facility- they may use a facility of their choice and pay the standard plan coinsurance and deductible.
- If the member does not contact Carrum Health prior to scheduling their surgery they will be required to pay a $1,000 pre-certification penalty in addition to their plan deductible and coinsurance.
- For questions please contact VEBA Advocacy or Carrum Health directly.
Rally Marketplace
- An interactive website and phone app that helps you manage your health.
- Earn Rally Coins!
- Learn more about the marketplace.
- Rally Website
- Kaiser Customer Service: (800) 464-4000
- Kaiser Website
- Kaiser Coverage
Kaiser Plan Names:
- Kaiser HMO $15
- Kaiser HMO $25
Chiropractic Services - Optum Health
- Customer Service: (800) 428-6337
- Optum Website
- Optum Chiropractic and Acupuncture
Fitness
- Active and Direct Fit (through December 31, 2024)
- One Pass (effective January 1, 2025)
Mental Health Services
- To schedule a mental health appointment, call: Orange County: (714) 644-6480
- Members do not need a referral.
- Behavioral Health Line & Mental Health Crisis Line: (800) 900-3277
- Available 24/7
- Resolution specialists to help members resolve concerns about mental health care appointments: (800) 390-3503
- PowerPoint on Mental Health Escalation Line
- PowerPoint on Digital Wellness Tools
- Calm App Info
- Digital Tools Info
- myStrength App Info
Plan Name: Cigna Select HMO - Southern California
- Customer Service: (800) 244-6224
- Cigna Website
- Cigna and St. Joseph HOAG Health Select
- Find a Cigna PCP
- Cigna Guest Flyer
- Know Before You Go
- So Cal Network
- After Hours Care
Fitness
Chiropractic Services
- Contact your PCP for Referral
- General Knowledge
- Policy of Therapy Services
Mental Health Services for Cigna Select HMO
- Contact your PCP for Referral
- Mental Health Benefits
Out of Area Dependents
- Urgent Care and Emergency Services (Applicable to ALL Medical Plans)
- UHC Surest PPO Summary of Benefits (Applicable to UHC and Cigna Medical Plans ONLY)
- UHC Surest PPO Mobile App Information in English (Applicable to UHC and Cigna Medical Plans ONLY)
- UHC Surest PPO Mobile App Information in Spanish (Applicable to UHC and Cigna Medical Plans ONLY)
- If I am enrolled in a UHC HMO or the Cigna HMO plan, how do I get my out of area dependent onto UHC Surest PPO while they're living out of the area?
- Send an email inquiry to one of our department contacts to start the process!
Disabled Adult Dependents
- The following application processes are processed by the insurance carriers on a first come, first serve basis. This means it can take anywhere between a few weeks to months for them to approve or deny. Please be mindful of when you submit your applications to the insurance carriers due to these delays.
- UHC Members: Please have the treating physician complete the below form and return it directly to UHC per the instructions on the application. UHC will notify the member of approval or denial.
- UHC Disabled Adult Dependent Application
- Once the member receives approval, they can submit a copy to our insurance department so we can provide the approval to VEBA (the trust that administers our insurance).
- UHC Disabled Adult Dependent Application
- Kaiser Members: Contact Kaiser directly at (800) 731-4661 or (858) 614-3584.
- Once the member receives approval, they can submit a copy to our insurance department so we can provide the approval to VEBA (the trust that administers our insurance).
- Cigna Select HMO: Contact Cigna directly at (800) 244-6224.
- Delta Dental and VSP Members: Delta Dental and VSP rely on the status approval granted by the medical carriers.